Requirements for prevention reporting

Taking similar parliamentary reports and available expert opinions as a basis, we aim to establish specifications for the first prevention report due for release in 2019. We propose to develop a formative report based on intervention reporting under the guidance of an independent scientific board supported by an administrative office and guided by the overall aim of providing policy advice. By pooling available expertise in the field of prevention, we can promote an evidence-based focus and the development of indicators. The prevention report should contribute towards data harmonisation and the development of long-term monitoring structures. We strive to achieve arrangements with and anchor our work within federal, federal state and municipal structures.


Journal of Health Monitoring
Requirements for prevention reporting sidered and their significance evaluated. Whilst this process revealed numerous gaps in the data and the analysis mostly relied on proxy variables, the number of activities did increase (output), even if this fact was not reflected to the same degree in the results (outcomes). Evaluation results show the need to improve quality orientation (also regarding the development and measurement of indicators) and continuous monitoring via a coordinating body. Moreover, the evaluation results presented in this opinion include a recommendation to differentiate the health target Grow up healthy and develop Healthy kindergartens as a separate (sub-) target, which reflects the growing importance of this field. In this respect, the evaluation fulfils the demands made in the Preventive Health Care Act, according to which 'the report should include recommendations to adapt the health targets developed high. To do justice to these demands, we can already refer to numerous qualified expert surveys ( Table 1).

Content of the prevention report
With the Preventive Health Care Act, legislators initiated a paradigm shift from disease prevention focused on behaviour to a settings approach. It would be desirable for the prevention report to follow this new focus and, in particular, to assess the strategies and effects of health promotion within determined settings.
Here it would be advisable to implement a set of modularly organised sub-opinions, for example, on measures of health promotion in child day care centres as they are currently being applied to evaluate Germany's health target Grow up healthy [1]. Regarding the relevant health targets and sub-targets for child day care centres, a large number of data sources have been con-

Processes of the prevention report
Overall, the prevention report should take a form that ensures that it can effectively contribute to the high demands of further developing Germany's national prevention strategy, complement it as its second pillar, and, moreover, offer an adequate knowledge basis for subsequent hearings and debates in the German Bundestag and Bundesrat. The report should therefore be produced by independent researchers, who may commission individual sections of the report for the purpose of the module on child day care centres' health targets mentioned above. This could provide a core building block for the necessary pooling of expert knowledge on disease prevention, for example, by using a scientific approach to underpin an evidence-based method and pairing this with the development of indicators. Accordingly, the report should be process-focused (formative evaluation), include elements of intervention reporting and function as a basis for policy advice.
To implement this, the commission should set up independent structures, such as a separate agency and board, that are capable of providing an overview of current disease prevention activities, and can coordinate and focus efforts on specific issues. Through the report, the commission should contribute to data harmonisation and promote the creation of the structures required for long-term monitoring. This would require close collaboration between top-level federal agencies (Federal